Abstract:
BACKGROUND:Pakistan is the sixth most populous nation in the world and has an estimated 4 million stroke survivors. Most survivors are taken care of by community-based caregivers, and there are no inpatient rehabilitation facilities. OBJECTIVE:The objective of this study was to evaluate the effectiveness and safety of locally designed 5-min movies rolled out in order of relevance that are thematically delivered in a 3-month program to deliver poststroke education to stroke survivor and caregiver dyads returning to the community. METHODS:This study was a randomized controlled, outcome assessor-blinded, parallel group, single-center superiority trial in which participants (stroke survivor-caregiver dyads) with first-ever stroke (both ischemic and hemorrhagic) incidence were randomized within 48 hours of their stroke into either the video-based education intervention group or the control group. The video-based education intervention group had health education delivered through short videos that were shown to the participants and their caregivers at the time of admission, before discharge, and the first and third months of follow-up after discharge. The control group had standardized care including predischarge education and counseling according to defined protocols. All participants enrolled in the video education intervention and control groups were followed for 12 months after discharge for outcome assessment in the outpatient stroke clinics. The primary outcome measures were the proportion of participants achieving control of blood pressure, blood sugar, and blood cholesterol in the video intervention versus the control group. Several predefined secondary outcomes were included in this study, of which we report the mortality and functional disability in this paper. Analysis was by performed using the intention-to-treat principle. RESULTS:A total of 310 stroke survivors and their caregiver dyads (participant dyads) were recruited over a duration of 6 months. In total, 155 participant dyads were randomized into the intervention and control groups, each. The primary outcome of control of three major risk factors revealed that at 12 months, there was a greater percentage of participants with a systolic BP<125 mm Hg (18/54, 33% vs 11/52, 21%; P=.16), diastolic BP<85 mm Hg (44/54, 81% vs 37/52, 71%; P=.21), HbA1c level<7% (36/55, 65% vs 30/40, 75%; P=.32), and low-density lipoprotein level<100 mg/dL (36/51, 70% vs 30/45, 67%; P=.68) in the intervention group than in the control group. The secondary outcome reported is the mortality among the stroke survivors because the number of stroke-related complications was higher in the control group than in the intervention group (13/155, 8.4% vs 2/155, 1.3%), and this difference was statistically significant (P<.001). CONCLUSIONS:The Movies4Stroke trial failed to achieve its primary specified outcome. However, secondary outcomes that directly related to survival skills of stroke survivors demonstrated the effectiveness of the video-based intervention on improving stroke-related mortality and survival without disability. TRIAL REGISTRATION:ClinicalTrials.gov NCT02202330; https://www.clinicaltrials.gov/ct2/show/NCT02202330.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Kamal A,Khoja A,Usmani B,Magsi S,Malani A,Peera Z,Sattar S,Ahmed Akram M,Shahnawaz S,Zulfiqar M,Muqeet A,Zaidi F,Sayani S,Artani A,Azam I,Saleem Sdoi
10.2196/12113subject
Has Abstractpub_date
2020-01-28 00:00:00pages
e12113issue
1issn
2291-5222pii
v8i1e12113journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Unhealthy alcohol use (UAU) is one of the major causes of preventable morbidity, mortality, and associated behavioral risks worldwide. Although mobile health (mHealth) interventions can provide consumers with an effective means for self-control of UAU in a timely, ubiquitous, and cost-effective manner, to da...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10899
更新日期:2019-01-29 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) has huge potential to deliver preventative health services. However, there is paucity of literature on theoretical constructs, technical, practical, and regulatory considerations that enable delivery of such services. OBJECTIVES:The objective of this study was to outline the key cons...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5996
更新日期:2016-11-15 00:00:00
abstract:BACKGROUND:Is someone at home, at their friend's place, at a restaurant, or enjoying the outdoors? Knowing the semantic location of an individual matters for delivering medical interventions, recommendations, and other context-aware services. This knowledge is particularly useful in mental health care for monitoring re...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7297
更新日期:2017-08-10 00:00:00
abstract:BACKGROUND:European adolescents and students tend to have low levels of physical activity and eat unhealthy foods, and the prevalence of overweight and obesity has increased, which poses a public health challenge. Mobile apps play an important role in their daily lives, suggesting their potential to be used in health-p...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3559
更新日期:2016-05-05 00:00:00
abstract:BACKGROUND:Young people are disproportionately impacted by HIV infection and exhibit poor HIV care continuum outcomes. Mobile health (mHealth) interventions are promising approaches to meet the unique needs of young people living with HIV. Youth-focused interventions are needed to improve HIV care continuum outcomes. ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/18597
更新日期:2020-05-08 00:00:00
abstract:BACKGROUND:Breastfeeding is proven to have lasting health benefits for both mothers and infants; however, 6-month exclusive breastfeeding rate remains below 20% in Thailand. Although the number of research literature and commercial apps for breastfeeding women is significantly growing, they are country-specific and res...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8337
更新日期:2018-01-26 00:00:00
abstract:BACKGROUND:Wearables for monitoring physical activity (PA) are increasingly popular. These devices are not only used by consumers to monitor their own levels of PA but also by researchers to track the behavior of large samples. Consequently, it is important to explore how accurately PA can be tracked via these devices....
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10972
更新日期:2018-12-13 00:00:00
abstract:BACKGROUND:Privacy has always been a concern, especially in the health domain. The proliferation of mobile health (mHealth) apps has led to a large amount of sensitive data being generated. Some authors have performed privacy assessments of mHealth apps. They have evaluated diverse privacy components; however, differen...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/18868
更新日期:2020-07-02 00:00:00
abstract:BACKGROUND:Mobile augmented reality (MAR) apps offer potential support for emergency responders in rural areas. OBJECTIVE:In this report, we described lessons learned from the development process of augmented reality (AR) Farm Mapping to Assist, Protect and Prepare Emergency Responders (MAPPER), a MAR app that provide...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12207
更新日期:2019-03-28 00:00:00
abstract:BACKGROUND:Pain is a challenge for patients following hematopoietic stem cell transplantation (HCT). OBJECTIVE:This study aimed to develop and test the feasibility, acceptability, and initial efficacy of a Web-based mobile pain coping skills training (mPCST) protocol designed to address the needs of HCT patients. MET...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8565
更新日期:2018-03-19 00:00:00
abstract:BACKGROUND:Despite the fact there are many wearable and mobile medical devices that enable patients to better self-manage their diabetes, not many patients are aware of all the options they have. In addition, there are those who are not fully satisfied with the devices they use, and those who often do not use them effe...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11527
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:Heavy drinking is prevalent among young adults and may contribute to obesity. However, measurement tools for assessing caloric intake from alcohol are limited and rely on self-report, which is prone to bias. OBJECTIVE:The purpose of our study was to conduct feasibility testing of the Remote Food Photography...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10460
更新日期:2018-09-24 00:00:00
abstract:BACKGROUND:There is a limited understanding of components that should be included in digital interventions for 24-hour movement behaviors (physical activity [PA], sleep, and sedentary behavior [SB]). For intervention effectiveness, user engagement is important. This can be enhanced by a user-centered design to, for exa...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15707
更新日期:2019-12-20 00:00:00
abstract:BACKGROUND:Acute exacerbations of chronic obstructive pulmonary disease (COPD) are associated with accelerated decline in lung function, diminished quality of life, and higher mortality. Proactively monitoring patients for early signs of an exacerbation and treating them early could prevent these outcomes. The emergenc...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10046
更新日期:2018-06-14 00:00:00
abstract:BACKGROUND:Augmented reality (AR) is a technology that integrates digital information into the user's real-world environment. It offers a new approach for treatments and education in medicine. AR aids in surgery planning and patient treatment and helps explain complex medical situations to patients and their relatives....
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10967
更新日期:2019-04-26 00:00:00
abstract:BACKGROUND:Positive psychology interventions show promise for reducing psychosocial distress associated with health adversity and have the potential to be widely disseminated to young adults through technology. OBJECTIVE:This pilot randomized controlled trial examined the feasibility of delivering positive psychology ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,随机对照试验
doi:10.2196/15018
更新日期:2019-10-31 00:00:00
abstract:BACKGROUND:Smoking is the leading cause of preventable death in the world today. Ecological research on smoking in context currently relies on self-reported smoking behavior. Emerging smartwatch technology may more objectively measure smoking behavior by automatically detecting smoking sessions using robust machine lea...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9035
更新日期:2017-12-13 00:00:00
abstract:BACKGROUND:Research suggests that variability in attention and working memory scores, as seen across time points, may be a sensitive indicator of impairment compared with a singular score at one point in time. Given that fluctuation in cognitive performance is a meaningful metric of real-world function and trajectory, ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14328
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:The remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response). OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17891
更新日期:2020-07-14 00:00:00
abstract:BACKGROUND:A primary concern for governments and health care systems is the rapid growth of the aging population. To provide a better quality of life for the elderly, researchers have explored the use of wearables, sensors, actuators, and mobile health technologies. The term AAL can be referred to as active assisted li...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15923
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:The proliferation of mobile health apps has greatly changed the way society accesses the health care industry. However, despite the widespread use of mobile health apps by patients in China, there has been little research that evaluates the effect of mobile health apps on patient experience during hospital v...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9145
更新日期:2018-05-23 00:00:00
abstract:BACKGROUND:Pure-tone screening (PTS) is considered as the gold standard for hearing screening programs in school-age children. Mobile devices, such as mobile phones, have the potential for audiometric testing. OBJECTIVE:This study aimed to demonstrate a new approach to rapidly screen hearing status and provide stratif...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12033
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Lightweight and portable devices that objectively measure concussion-related impairments could improve injury detection and critical decision-making in contact sports and the military, where brain injuries commonly occur but remain underreported. Current standard assessments often rely heavily on subjective ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8478
更新日期:2018-01-23 00:00:00
abstract:BACKGROUND:Mobile technologies for health (mHealth) represent a promising strategy for reducing type 2 diabetes (T2DM) risk. The PROPELS trial investigates whether structured group-based education alone or supplemented with a follow-on support program combining self-monitoring with pedometers and tailored text-messagin...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5026
更新日期:2015-12-15 00:00:00
abstract:BACKGROUND:The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide. A healthy diet and stable blood glucose levels during pregnancy can prevent adverse health outcomes for the mother and the newborn child. Mobile health may be a useful supplement to prenatal care, providing women with targeted die...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/18614
更新日期:2020-11-04 00:00:00
abstract:BACKGROUND:Evidence of effectiveness of mobile health (mHealth) apps as well as their usability as non-drug interventions in primary care are emerging around the globe. OBJECTIVE:This study aimed to explore the feasibility of mHealth app prescription by general practitioners (GPs) and to evaluate the effectiveness of ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/16497
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:With 15.6 million smokers, Vietnam is one of the top 10 largest cigarette-consuming countries in the world. Unfortunately, smoking cessation programs are still scarce in Vietnam. Mindfulness-based and text messaging-based interventions have been increasingly used in smoking cessation studies in developed cou...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17337
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:Self-monitoring is a cornerstone of behavioral lifestyle interventions for obesity and type 2 diabetes mellitus. Mobile technology has the potential to improve adherence to self-monitoring and patient outcomes. However, no study has tested the use of a smartphone to facilitate self-monitoring in overweight o...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.4478
更新日期:2018-04-10 00:00:00
abstract:BACKGROUND:Improvements in parenting practices can positively mediate the outcomes of treatment for adolescent substance use disorder. Given the high rates of release among adolescents (ie, 60% within three months and 85% within one year), there is a critical need for interventions focused on helping parents achieve an...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12407
更新日期:2019-09-26 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) is currently among the supporting elements that may contribute to an improvement in health markers by helping people adopt healthier lifestyles. mHealth interventions have been widely reported to achieve greater weight loss than other approaches, but their effect on body composition r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/21771
更新日期:2020-11-26 00:00:00